Individual
JIGAR KANUBHAI SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
274 CLEAR SKY CT, CLARKSVILLE CANCER CARE, CLARKSVILLE, TN 37043-5653
(931) 802-8056
(931) 802-8059
Mailing address
404 SAVANNAH TRACE DR, CLARKSVILLE, TN 37043-5442
(931) 802-8056
(931) 802-8059
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD39642
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33358601
—
TN
01
—
4119802
BLUE CROSS
TN
Enumeration date
07/19/2006
Last updated
11/17/2009
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